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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Panigrahi, Ranajit Priyadarshi, Ashok Palo, Nishit Mahapatra, Amita Kumari |
| Description | Author Affiliation: Panigrahi R ( Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India.); Mahapatra AK ( Department of Physiology, Hi-Tech Medical College, Bhubaneswar, Odisha, India.); Palo N ( Department of Orthopedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India.); Priyadarshi A ( Department of Orthopedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India.) |
| Abstract | We report a case of neglected multiligamentous injury that developed a complete thrombotic popliteal artery block following arthroscopic surgery. A 56-year-old man, a farmer, presented with an 8-month history of instability of the right knee. Examination revealed ipsilateral anterior (ACL)/posterior cruciate ligament (PCL) injuries. MRI and diagnostic arthroscopy confirmed complete ACL/PCL tear. Single-stage arthroscopic ACL/PCL reconstruction was performed. Postsurgery, the operated limb appeared swollen, firm and cold, without sensation or toe movement. Angiogram revealed complete thrombotic block of left popliteal artery. Fogarty's catheterism was performed and distal vascularity re-established. At 28 months, the patient was back at work with good functional outcome. We failed to examine the patient preoperatively in spite of his advanced age, history of beedi smoking and tobacco use, and presence of feeble vascular pulsations with thickened skin over leg and foot. Thus, in multiligamentous injuries, patient selection and thorough detailed clinical examination are the keys to successful arthroscopic procedures. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Anterior Cruciate Ligament Surgery Knee Injuries Popliteal Artery Pathology Posterior Cruciate Ligament Reconstructive Surgical Procedures Adverse Effects Smoking Thrombosis Etiology Arthroscopy Humans Joint Instability Knee Knee Joint Male Middle Aged Injuries Postoperative Complications Methods Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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